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* 1. What is your name?

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* 2. What is your organization (if applicable)?

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* 3. What is your e-mail?

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* 4. What is your Minnesota region? 

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* 5. Which DOMAIN work are you interested in following?

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* 6. We are looking to identify strategy champions in each domain. Select any strategy that your organization would like to support or help lead.

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* 7. We are looking to identify thought leaders in each domain. Select any strategy that you want to be identified as a subject matter expert. 

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